Organization
ECUMEN
Active
Other names
The Evergreens of Fargo-1405
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS HARRISON (CFO)
(651) 766-4300
Entity
Organization
Contact information
Practice address
1405 W GATEWAY CIR S, FARGO, ND 58103-3529
(701) 239-4524
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8166
(651) 766-4300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8045
ND
Other
Enumeration date
09/23/2015
Last updated
04/22/2026
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